Introduction to Problem ● Glaucoma: 2nd leading cause of blindness in the world ● Risk factor for developing glaucoma: o high intraocular pressure (IOP) - regulated by aqueous humor flow in anterior chamber ● Strong correlation between those with diabetes and developing glaucoma
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
Introduction to Problem ● Glaucoma: 2nd leading cause of blindness in the world ● Risk factor for developing glaucoma:
o high intraocular pressure (IOP) - regulated by aqueous humor flow in anterior chamber
● Strong correlation between those with diabetes and developing glaucoma
Open-angle Glaucoma ● Open-angle glaucoma is the more common form of
glaucoma (90% of glaucoma patients) ● Results when resistance to outflow increases due to
obstructions in the trabecular meshwork and Schlemm’s canal
● Normal IOP is considered to be within the range of 1500 Pa to 2900 Pa (glaucoma.org)
Previous Models ● 2-D Model:
o Developed by J.A. Ferreira et. al (2014) o Models pressure in relation to increased resistance in Trabecular
Meshwork/Schlemm’s Canal o Does not account for buoyancy-driven flow
J.A. Ferreira et. al. ● Equations:
o System 1 applies to anterior chamber (Navier-Stokes) o System 2 applies to Trabecular Meshwork/Schlemm’s
canal (Darcy’s Law)
Results
Previous Models ● 3-D Model:
o Developed by Fitt and Gonzalez (2006) o Buoyancy-driven flow o Excludes Trabecular Meshwork/Schlemm’s Canal
Fibronectin
http://en.wikipedia.org/wiki/Fibronectin
Fibronectin ● Serves as linker in Extracellular Matrices
o ...like the one found in the Trabecular Meshwork ● Studies have found increased glucose concentration
results in a higher rate of fibronectin production (Roy, Sayon and Tsuyoshi Sato, 2002)
● “These findings indicate that a high glucose level in aqueous humor of patients with diabetes may increase fibronectin synthesis and accumulation in trabecular meshwork and accelerate the depletion of trabecular meshwork cells…”
Objectives ● Model IOP under different glucose concentrations in
aqueous humor ● Compare results of commercial and academic software ● Develop parallel code to solve equations in model
Method & Equations ● Flow of AH in anterior chamber simulated using
modified Navier-Stokes equations: ● Flow in Trabecular Meshwork/Schlemm’s canal:
Finite Element Method ● No guarantee for solution to 3D Navier-Stokes ● Solve using numerical methods ● Split geometry up into discrete set of cells
o creates a mesh ● Galerkin method
o converts PDEs to system of linear equations
Parameters Parameter Value
Initial Velocity 1.2 mm/s
Outlet Pressure 1200 Pa
Reference Temperature 22 C
Aqueous Humor Density 1000 kg/m3
Aqueous Humor Viscosity 0.001 kg/(ms)
Aqueous Humor Specific Heat 4182 J/(kgK) [water property]
Parallel Code ● Code has been developed to solve 1D Laplace problem
in parallel ● Makes use of MPI and Trilinos packages ● Galerkin Method
Example int tmp2=0; for (int i=0;i<NumMyElements;++i) { off=offset[MyGlobalElements[i]]; double aij_tmp[off]; int col_loc_tmp[off]; for (int j=tmp2;j<off+tmp2;++j)
Problems ● Deal.II code documentation makes many assumptions about its users
o assumes a strong background in mathematics, particularly numerical and finite element methods
o users not familiar with these concepts may be better suited using a different piece of software
● COMSOL o modifying equations is not straightforward
● These issues drastically slowed down our progress
Conclusions and Future Goals ● Velocity patterns seem consistent
o why not pressure? ● 3D simulations need continued refinement
o Deal.II 3D simulations will need to be run in parallel
● Begin modifying equations for 2D simulations ● Begin expanding Laplace 1D code to work for 2D/
3D.
Acknowledgments
● NSF and CSURE ● University of Tennessee and ORNL ● Kwai Wong and Christian Halloy ● Ben Ramsey and Jacob Pollack
References 1. Canning, C. R. (2002, 12). Fluid flow in the anterior chamber of a human eye. Mathematical Medicine and Biology, 19(1), 31-60. doi: 10.1093/imammb19.1.31 2. Crowder, T.r., and V.j. Ervin. "Numerical Simulations of Fluid Pressure in the Human Eye." Applied Mathematics and Computation 219.24 (2013): 11119-1133. Print. 3. Ferreira, J.a., P. De Oliveira, P.m. Da Silva, and J.n. Murta. "Numerical Simulation of Aqueous Humor Flow: From Healthy to Pathologic Situations." Applied Mathematics and Computation 226 (2014): 777-92. Print. 4. Heys, J. J., Barocas, V. H., & Taravella, M. J. (2001, 12). Modeling Passive Mechanical Interaction Between Aqueous Humor and Iris. Journal of Biomechanical Engineering, 123(6), 540. doi: 10.1115/1.1411972
References 5. Fitt, A. D., and G. Gonzalez. "Fluid Mechanics of the Human Eye: Aqueous Humour Flow in The Anterior Chamber." Bulletin of Mathematical Biology 68.1 (2006): 53-71. Print. 6. Roy, Sayon and Tsuyoshi Sato. "Effect of High Glucose on Fibronectin Expressions and Cell Proliferation in Trabecular Meshwork Cells." Investigative Ophthalmology and Visual Science 43.1 (2002): 170-175. Print. 7. Villamarin, Adan, Sylvain Roy, Reda Hasballa, Orestis Vardoulis, Philippe Reymond, and Nikolaos Stergiopulos. "3D Simulation of the Aqueous Flow in the Human Eye." Medical Engineering & Physics 34.10 (2012): 1462-470. Print.